Provider Demographics
NPI:1225049661
Name:WOJDA, BARBARA T (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:T
Last Name:WOJDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 FAIRFAX AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4905
Mailing Address - Country:US
Mailing Address - Phone:502-895-6155
Mailing Address - Fax:502-895-6156
Practice Address - Street 1:125 FAIRFAX AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4905
Practice Address - Country:US
Practice Address - Phone:502-895-6155
Practice Address - Fax:502-895-6156
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY29673207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200209850AMedicaid
KY2433680000OtherPASSPORT ADVANTAGE
KY000000228821OtherBLUE CROSS/ANTHEM
KY1054531OtherPASSPORT
KY611328345OtherHUMANA
KY64296734Medicaid
KY1054531OtherPASSPORT
KY0722402Medicare ID - Type Unspecified